McGill Case 135

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This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia.

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This is from a patient with a Medtronic Activitrax VVI.R pacer that was being replaced as it was at end of life. The pacer was to be replaced with a CPI 940 DDD pacer which was implanted via a right subclavian approach and set at a lower rate of 65/min. The VVI.R pacer was left in place (left side) and set to VVI mode and a rate of 30/min. pending explant (planned one week later).